| Flying Horse Medical Center | |
|
1615 Silversmith Rd Colorado Springs CO 80921-7225 | |
| (719) 433-5255 | |
| (719) 488-6753 |
| Full Name | Flying Horse Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1615 Silversmith Rd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Aaron S. Fraser (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7194335255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flying Horse Medical Center 1615 Silversmith Rd Colorado Springs CO 80921-7225 Ph: (719) 633-5255 | Flying Horse Medical Center 1615 Silversmith Rd Colorado Springs CO 80921-7225 Ph: (719) 433-5255 |
| NPI Number | 1184045726 |
|---|---|
| Provider Enumeration Date | 12/28/2013 |
| Last Update Date | 01/04/2021 |
| Medicare PECOS PAC ID | 4981828852 |
|---|---|
| Medicare Enrollment ID | O20140616001039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184045726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 50395 (Colorado) | Primary |
| Provider Name | Aaron Fraser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629114335 PECOS PAC ID: 2062592371 Enrollment ID: I20140616001353 |
| Provider Name | Jordan B Hout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700439353 PECOS PAC ID: 3971936931 Enrollment ID: I20191204002574 |
| Provider Name | Lori Truetzschler-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033657515 PECOS PAC ID: 2567746019 Enrollment ID: I20200615003256 |
| Provider Name | David Daniell Haight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174599575 PECOS PAC ID: 1052720018 Enrollment ID: I20210504002927 |
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